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Pennsylvania rates for HCPCS 90647

Hib Prp-Omp Vaccine 3 Dose Schedule Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.92 / $31.42 / $137.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.25 / $36.47 / $60.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.98 / $37.61 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.74 / $35.74 / $35.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.39 / $12.39 / $24.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.92 / $31.42 / $137.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.25 / $37.20 / $60.98
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.11 / $25.72 / $29.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.11 / $29.32 / $29.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.47 / $37.61 / $47.03